Results 201 to 210 of about 44,497 (250)

Evaluating Alternative Payment Models in Oncology

JAMA, 2017
Cancer care is expensive, and like other chronic illnesses, is prone to waste both through overuse of low-value services and underuse of evidence-based approaches.1 The fee-for-service model has been cited as a major factor, creating perverse incentives to provide high-cost, low-value care without sufficiently monitoring quality.2 Alternative models ...
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CMS Practice Assessment Tool Validity for Alternative Payment Models

The American Journal of Managed Care, 2023
To study the predictive validity of the CMS Practice Assessment Tool (PAT) among 632 primary care practices.Retrospective observational study.The study included primary care physician practices recruited by the Great Lakes Practice Transformation Network (GLPTN), 1 of 29 CMS-awarded networks, and used data from 2015 to 2019.
Boustani, Malaz A., Perkins, Anthony J., Davis-Ajami, Mary L., Simon, Kosali I., Chang, Chiang-Hua, Solid, Craig A., Monahan, Patrick O.   +6 more
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Alternative payment models, value-based payments, and health disparities

2022
The nexus of race and insurance is one of four regulatory priorities for the National Association of Insurance Commissioners (NAIC) in 2022 and has been a key initiative since 2020. As part of this initiative, the Health Innovations Working Group was charged to “evaluate mechanisms to resolve disparities through improving access to care, including . . .
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Neurologic Alternative Payment Models—Bridging the Gap

JAMA Neurology
This Viewpoint discusses alternative payments models and the responsibilities of health care professionals.
Joseph T, Kannarkat, George T, Kannarkat, Lyell K, Jones   +2 more
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Alternative Payment Models and Academy Advocacy for Future Physician Payment

Otolaryngology–Head and Neck Surgery, 2014
Program Description:The landscape of physician payment is changing, with quality and measures becoming more intertwined with how payment is and will be provided for services. This miniseminar will outline the efforts of our Academy, specifically the Physician Payment Policy Workgroup (3P) and the Ad Hoc Payment Model Workgroup, to prepare members for ...
Jane T. Dillon, Richard W. Waguespack, Emily F. Boss, Robert R. Lorenz, Randal S. Weber   +4 more
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Alternative Reimbursement Models: Bundled Payment and Beyond

Journal of Bone and Joint Surgery, 2016
The Bundled Payments for Care Improvement (BPCI) initiative was begun in January 2013 by the U.S. Centers for Medicare & Medicaid Services (CMS) through its Innovation Center authority, which was created by the U.S. Patient Protection and Affordable Care Act (PPACA).
A Seth, Greenwald, Amy, Bassano, Stephen, Wiggins, Mark I, Froimson   +3 more
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Assessing quality in alternative payment models

Seminars in Arthroplasty, 2016
Abstract Within an alternative payment model, the focus of both the payers and the providers is on reduction of cost in providing care. Both the payers and the providers must, however, meet the moral, ethical, and legal requirement to show that quality was maintained, or, more ideally, improved for having gone through process changes.
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Bundling and Alternate Payment Models

2016
In this chapter, the author discussed the advent of accountable care organizations (ACOs) and the different types of ACOs that exist. A comparison is made to HMOs and Medicare Advantage programs. There is a discussion on how the incentive for hospital admissions is juxtaposed with incentives to keep patients out of the hospital.
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Assessing Alternative Payment Models

JAMA, 2020
Suhas, Gondi, Rishi K, Wadhera
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A Sampling of Alternative Payment Models.

The Journal of medical practice management : MPM, 2018
Understanding the current selection of CMS-approved alternative payment models is critical for providers in the current healthcare policy climate who wish to pursue alternatives to traditional reimbursement schemes. This has become a topic of increasing interest with the recent passage of the Medicare Access and CHIP Reauthorization Act of 2015, as ...
Richard, Self, Janis, Coffin
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